| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $54.55 | $54.55 | $54.55 | |
HMSA
| Professional | $60.21 | $60.21 | $60.21 | |
United
| Professional | $54.39 | $56.42 | $84.63 | |
University Health Alliance
| Professional | $20.57 | $29.38 | $65.70 |